Nephrology

Best Nephrology Hospital in Indore, Madhya Pradesh

Nephrology is the subspecialty of internal medicine that focuses on the diagnosis and treatment of disorders and conditions related to the kidneys. The kidneys are responsible for the removal of waste products and excess fluids from the body, as well as for retaining fluid intake and maintaining electrolyte concentrations. Complications associated with the kidneys may not only be confined to the organ itself but also require specialised medical care and management.

Diseases Treated Under Nephrology 

Nephrology deals with the management of kidney functioning by treating conditions that hinder its processes. Numerous conditions fall under the purview of Nephrology treatment. Our services include the treatment of the following kidney-related diseases:

• Kidney stones: Kidney stones are crystallised urine deposits that can cause a painful sensation when passing through the urinary tract during urination.
• Pyelonephritis: Kidney infection, also known as pyelonephritis, is an inflammatory condition of the kidney resulting from a urinary tract infection (UTI).
• Glomerulonephritis: Glomerulonephritis is a condition affecting the glomeruli cells of the kidneys, which are responsible for removing toxic waste substances and extra fluid from the bloodstream.
• Lupus nephritis: Lupus nephritis is a condition that affects the kidneys, causing inflammation as a result of Systemic Lupus Erythematosus (SLE), an autoimmune disease.
• Hypertension: Hypertension is the condition of having high blood pressure, wherein the arteries of the body are consistently exposed to high pressure of blood flow against the walls of the arteries. Hypertension affects many organs and parts of the body in various ways. The kidneys are among the most affected organs, which can lead to chronic kidney diseases and even acute kidney failure.
• Electrolyte disorders: An imbalance of electrolytes, such as minerals in the bloodstream, can be potentially harmful to certain vital organs of the body. Improper functioning of the kidneys can lead to such electrolyte disorders, which can even affect the brain.
• Diabetic kidney disorder: The long-term side effects of unregulated diabetes can lead to chronic kidney diseases and eventual kidney failure. Diabetic nephropathy is a common complication of poorly regulated diabetes, which can lead to high blood pressure and kidney damage.
• Kidney failure: Kidney failure, or renal failure, is a condition in which the kidneys become incapable of filtering waste products from the blood.
• Autoimmune vasculitis: Autoimmune vasculitis is an inflammatory condition that affects the blood vessels, causing the arterial walls to thicken. This thickening can reduce the amount of blood flowing through the arteries, leading to reduced blood supply to organs and potential tissue and organ damage.
• Kidney cancer: Kidney cancer refers to abnormal growths in the cells of kidney tissues, forming a cancerous mass called a tumour.

Treatments Under Nephrology Department

The state-of-the-art medical units at CARE CHL Hospitals, Indore, facilitate the smooth delivery of advanced medical care to patients with a wide range of nephrological ailments. The various services provided in the Department of Nephrology include the following:

• Continuous Renal Replacement Therapy (CRRT): CRRT is a slower form of hemodialysis in which blood is withdrawn, pumped through filters, and then returned to the body. Continuous Renal Replacement Therapy (CRRT) is administered to critically ill patients who require ongoing removal and replacement of waste and water without inducing hypotension due to their high metabolic rate during the recovery process. In addition to waste elimination, these patients also require vasoactive drugs, nutritional and inotropic agents, and drugs infused in large volumes of fluids. CRRT facilitates the administration of these fluids while concurrently managing the waste elimination process.
• Peritoneal Dialysis (CPD): Continuous Peritoneal Dialysis, also known as CPD, is a method used to remove waste products from the blood. This process involves the use of a specialised fluid called dialysate, which is introduced into the peritoneal or abdominal cavity through a catheter. The dialysate remains in the cavity for a duration of 4 to 6 hours, referred to as the "dwell time." Subsequently, the dialysate is drained out after effectively filtering waste, chemicals, and excess fluids from the blood. There are two primary types of peritoneal dialysis:

1. Continuous Ambulatory Peritoneal Dialysis (CAPD) – This approach relies on gravity to facilitate the movement of filtered dialysate through the catheter, enabling it to flow into and out of the patient's abdomen.
2. Continuous Cycling Peritoneal Dialysis (CCPD) – An automated device known as an automated cycler can perform peritoneal dialysis while the patient sleeps. During the night, dialysate is introduced into the abdomen and left in place throughout the night.

• Plasma Dialysis (Plasmapheresis): Plasmapheresis is the process of extracting plasma from the blood, sometimes for the purpose of obtaining donor plasma. It can also be utilised for plasma exchange, where plasmapheresis is employed to replace a patient's blood plasma using a machine and substitute it with a replacement fluid. Plasmapheresis can offer support to aid patients in their recovery from organ transplant surgery.
• Haemodialysis: Hemodialysis is a specialised procedure for artificially removing excess waste, fluids, and chemicals from the blood, filtering them out, and then returning the purified blood to the body. This process involves the use of a catheter, which can be placed in the legs, arms, or neck, to return the purified blood to the body. The procedure takes place in an artificial kidney machine known as a hemodialyzer. Hemodialysis is typically recommended for patients with end-stage kidney failure, where they have lost 85-90% of their kidney function. A hemodialysis session usually lasts for 4 hours and might require up to 3 sessions per week.
• Kidney Transplant: Kidney transplantation is a surgical procedure involving the removal and replacement of one or both kidneys with a matching live or cadaveric donor kidney. Either a portion or the entire kidney may need to be replaced through transplantation.

Why Choose CARE CHL Hospitals?

The Department of Nephrology at CARE CHL Hospitals, Indore, is one of the modern units for medical care and intervention for conditions associated with the kidneys in paediatric and adult patients suffering from a spectrum of acute and chronic kidney ailments. Our team of nephrologists is widely acclaimed for their critical clinical skills, providing world-class expertise and medical care with compassion. We are constantly engaged in the treatment and management of patients with kidney diseases through various non-invasive and minimally invasive techniques.